Case Report of Management of Increased Intracranial Pressure in Epidural Hematoma

Rikki Oktrian Putra; Yudhisman Imran; Mulia Rahmansyah; Triasti Khusfiani; Mustika Anggiane Putri; Ainaya Az zahra

doi:10.47353/jsocmed.v3i3.123

Case Report of Management of Increased Intracranial Pressure in Epidural Hematoma

Rikki Oktrian Putra
Alumni of Universitas Trisakti, Indonesia
Yudhisman Imran
Department of Neurology, Faculty of Medicine, Universitas Trisakti, Indonesia
Mulia Rahmansyah
Department of Radiology, Universitas Trisakti, Indonesia
Triasti Khusfiani
Department of Pharmacology, Universitas Trisakti, Indonesia
Mustika Anggiane Putri
Department of Physiology, Universitas Trisakti, Indonesia
Ainaya Az zahra
Medical Education Study Programme, Universitas Trisakti, Indonesia

Abstract

Epidural haematoma (EDH) is an abnormal collection of blood between the bone and the dura mater. A 26-year-old male was brought by his family to the Hospital Emergency Department with complaints of headache after a traffic accident. The patient was unconscious for 5 minutes and had one seizure. After the seizure, the patient regained consciousness and complained of headache and vomiting. Neurological status examination was within normal limits. CT-Scan examination of the head found a linear fracture accompanied by a picture of epidural haemorrhage (EDH) 59.34 cc in the right parietal, and midline shift to the left. The patient received conservative management in the form of mannitol. The patient also underwent operative management in the form of decompressive craniotomy for haematoma evacuation. This case describes a patient with EDH with symptoms of increased intracranial pressure and received medical and operative management.

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Published at

31. March 2024
https://doi.org/10.47353/jsocmed.v3i3.123
Issue:

Vol. 3 No. 3 (2024): March
Section:

Articles
Keywords:

Epidural haematoma Increased intracranial pressure Mannitol Craniotomy
References:

Pramana R, Imran Y. Hubungan antara trauma kepala dan fungsi kognitif pada usia dewasa muda. J Biomedika dan Kesehat. 2019; 2(4):149-53.

Chen H, Guo Y, Chen SW, Wang G, Cao HL, Chen J, et al. Progressive epidural hematoma in patients with head trauma: incidence, outcome, and risk factors. Emerg Med Int. 2012; 2012: 134905.

Istiadjid ES M, Rahayu M, Balafif F. Correlation of severe head injury epidural hematoma trepanation respond time with outcome. MNJ. 2016; 2 (1): 8–12.

Kulesza B, Mazurek M, Rams Ł, Nogalski A. Acute epidural and subdural hematomas after head injury: Clinical distinguishing features. Indian J Surg. 2021; 83 (S1): 96–104.

Jeong YH, Oh JW, Cho S, Korean Trauma Data Bank System Committee. Clinical Outcome of Acute Epidural Hematoma in Korea: Preliminary Report of 285 Cases Registered in the Korean Trauma Data Bank System. Korean J Neurotrauma. 2016; 12 (2): 47–54

Yang C, Hui J, Xie L, Feng J, Jiang J. Comparative effectiveness of different surgical procedures for traumatic acute epidural haematoma: study protocol for Prospective, Observational Real-world Treatments of AEDH in Large-scale Surgical Cases (PORTALS-AEDH). BMJ Open. 2022; 12 (3): e051247.

Rosyidi RM, Priyanto B, Al Fauzi A, Sutiono AB. Toward zero mortality in acute epidural hematoma: A review in 268 cases problems and challenges in the developing country. Interdiscip Neurosurg. 2019; 17: 12–8.

Apriliyanty RJT, Sabri, Delyuzar, Dharmajaya R. Correlation Between Epidural Hematoma Volume In Temporal Region With Glasgow Coma Scale On Patients With Head Injury At Haji Adam Malik General Hospital Medan In The Year Of 2018. Asian Australasian Neuro and Health Science Journal. 2020; 2 (1): 1-7

Tahir AM. Patofisiologi kesadaran menurun.UMI Medical Journal. 2018; 3 (1): 1-9

Agrawal A. Rao M. Expansion of Contralateral Extradural Hematoma following Mannitol Therapy. Indian J Neurotrauma. 2023; 20: 159–160

Bisri DY. Mannitol untuk Hipertensi Intrakranial pada Cedera Otak Traumatik: apakah masih diperlukan? JNI. 2013; 2 (3): 177–87

Arifianto MR, Ma’ruf AZ, Ibrahim A. Efficacy comparison of mannitol and hypertonic saline for Traumatic Brain Injury (TBI) treatment. Bali Med J. 2016; 5 (3): 516-521

Wang W. Minimally Invasive Surgical Treatment of Acute Epidural Hematoma: Case Series. Biomed Res Int. 2016; 2016: 6507350: 1-8.

Bullock RM, Chesnut R, Ghajar J, Gordon D, Hartl R, Newel DW. et al. Surgical Management of Acute Epidural Hematomas. Neurosurgery. 2006; 58 (3): 7-15
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Putra, R. O., Imran, Y., Rahmansyah, M., Khusfiani, T., Putri, M. A., & Az zahra, A. (2024). Case Report of Management of Increased Intracranial Pressure in Epidural Hematoma. Journal of Society Medicine, 3(3), 66–70. https://doi.org/10.47353/jsocmed.v3i3.123